E &amp; M CODING THE LATEST INTERPRETATION. Ronald Pope, DO Coding Consultants of NY,LLC. QUICK OVERVIEW. Choose Level of service for Hx, PE, and Decision Making For Established patients pick the middle level For New patient’s choose the lowest of the three

Copyright Complaint Adult Content Flag as Inappropriate

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

1 Point: for each new or established problem for which the diagnosis and/or treatment plan is evident with or without diagnostic confirmation

1 Point: Each new or established problem for which the diagnosis and/or treatment plan is not evident. Must be a plausible differential diagnoses, comorbidities or complications (not counted as separate problems) clearly stated and supported by information in record: requiring diagnostic evaluation or confirmation

In other words: Each problem or Diff Dx gets a point, but must be addressed in the plan as workup and/or Tx

The entries are examples of commonly prescribed treatments and the point values are illustrative of their intended quantifications. Many other treatments exist and should be counted when documented.

Do not count as treatment option’s notations such as: Continue “same” therapy or “no change” in therapy (including drug management) if specified therapy is not described (record does not document what the current therapy is nor that the physician reviewed it).